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female pelvic organ prolapse

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https://www.readbyqxmd.com/read/27871954/surgical-management-for-pelvic-organ-prolapse-and-its-impact-on-sexual-function
#1
REVIEW
Jennifer C Thompson, Rebecca G Rogers
INTRODUCTION: Female sexual function is complex, incorporating physical, emotional, and psychological factors. Pelvic organ prolapse, descent of the pelvic organs to or through the vaginal opening, is a common condition that affects quality of life, including sexual function. Symptomatic prolapse is most commonly treated with reconstructive surgery. AIM: To address the surgical management of pelvic organ prolapse and its impact on sexual function and include recommendations for evaluating sexual function, use of validated questionnaires to assess function, preoperative counseling, and postoperative follow-up...
July 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27796426/primary-care-providers-attitudes-knowledge-and-practice-patterns-regarding-pelvic-floor-disorders
#2
Donna Mazloomdoost, Lauren B Westermann, Catrina C Crisp, Susan H Oakley, Steven D Kleeman, Rachel N Pauls
INTRODUCTION AND HYPOTHESIS: Understanding barriers to seeking care for pelvic floor disorders is necessary. We sought to assess familiarity with pelvic floor disorders, as well as identify screening and referral patterns among primary care providers. METHODS: This Institutional Review Board approved study was distributed through a secure online server (SurveyMonkey®). Primary care providers within a large healthcare system were invited to participate in a 14-question survey regarding the prevalence, diagnosis, and treatment of urinary incontinence (UI), overactive bladder (OAB) syndrome, and pelvic organ prolapse (POP)...
October 28, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27785901/annual-report-of-the-women-s-health-care-committee-japan-society-of-obstetrics-and-gynecology-2016
#3
Kiyoshi Takamatsu, Jo Kitawaki
In order to improve women's quality of life, over the year leading up to June 2016, the Women's Health Care Committee of the Japan Society of Obstetrics and Gynecology focused upon: (i) breast management; (ii) influence of a therapy for gynecologic disease on physical condition; (iii) nonsurgical management of pelvic organ prolapse; (iv) survey of infectious diseases in Obstetrics and Gynecology in Japan; (v) health care for female athletes; (vi) a training program for women's health-care advisers; and (vii) revising the Japanese guideline on hormone-replacement therapy...
November 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27778256/comparative-study-between-trans-perineal-repair-with-or-without-limited-internal-sphincterotomy-in-the-treatment-of-type-i-anterior-rectocele-a-randomized-controlled-trial
#4
Mohamed Youssef, Sameh Hany Emile, Waleed Thabet, Hossam Ayman Elfeki, Alaa Magdy, Waleed Omar, Wael Khafagy, Mohamed Farid
BACKGROUND AND AIM: Two types of rectocele exist; type I is characterized by relatively high resting anal pressures, whereas type II has lower resting anal pressures with associated pelvic organ prolapse. We compared trans-perineal repair (TPR) of rectocele with or without limited internal sphincterotomy (LIS) in the treatment of type I anterior rectocele. PATIENTS AND INTERVENTIONS: Consecutive patients with anterior rectocele were evaluated for inclusion. Sixty-two female patients with type I anterior rectocele were randomized and equally allocated to receive TPR alone (group I) or TPR with LIS (group II)...
October 24, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27706005/stress-urinary-incontinence-in-women-with-multiple-sclerosis
#5
Caroline Massot, Hichem Khenioui, Olivier Agnani, Marc-Alexandre Guyot, Patrick Hautecoeur, Cécile Donze
PURPOSE: To report the prevalence and risk factors of stress urinary incontinence (SUI) and the prevalence of intrinsic sphincter deficiency in women with multiple sclerosis (MS). METHODS: We conducted a retrospective study. Female patients with MS, followed for lower urinary tract symptoms (LUTS) during a 15-year period were included. Demographic data, MS history, expanded disability status scale (EDSS) score at the urodynamic visit, obstetrical past, birth weight, LUTS, and urodynamic findings were collected...
September 2016: International Neurourology Journal
https://www.readbyqxmd.com/read/27704153/in-the-footsteps-of-bonney-and-nichols-hysterectomy-during-surgical-repair-of-pelvic-organ-prolapse
#6
Maurizio Serati, Diaa Rizk, Stefano Savatore
Based on the available urogynecological literature, the role of hysterectomy in the surgical strategy of pelvic organ prolapse (POP) repair remains controversial. Currently, there are no data to favor either the removal or preservation of the uterus in women with POP. The findings that hysterectomy may contribute to a higher success rate and to the development of urinary incontinence and/or female sexual dysfunction are not supported by evidence. It is not clear why both hysteropexy was sometimes performed in the presence of overt uterine prolapse and/or concomitant vaginal hysterectomy was often included in vaginal prolapse repair in the absence of uterine prolapse...
October 4, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27636220/risk-factors-for-microscopic-hematuria-in-women
#7
Lee A Richter, Quinn K Lippmann, Karl Jallad, Joelle Lucas, Jennifer Yeung, Tanaka Dune, Erin Mellano, Steven Weissbart, Mihriye Mete, Ja-Hong Kim, Robert Gutman
OBJECTIVES: The objective of this study was to determine the risk factors that may contribute to the diagnosis of microscopic hematuria (MH) in women. METHODS: This multicenter case-control study reviewed cases of women presenting to Female Pelvic Medicine & Reconstructive Surgery sites with MH from 2010 to 2014. Microscopic hematuria was defined as 3 or more red blood cells per high power field in the absence of infection as indicated in the American Urologic Association guidelines...
September 16, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27636216/health-care-disparities-among-english-speaking-and-spanish-speaking-women-with-pelvic-organ-prolapse-at-public-and-private-hospitals-what-are-the-barriers
#8
Alexandriah N Alas, Gena C Dunivan, Cecelia K Wieslander, Claudia Sevilla, Biatris Barrera, Rezoana Rashid, Sally Maliski, Karen Eilber, Rebecca G Rogers, Jennifer Tash Anger
OBJECTIVES: The objective of this study was to compare perceptions and barriers between Spanish-speaking and English-speaking women in public and private hospitals being treated for pelvic organ prolapse (POP). METHODS: Eight focus groups, 4 in English and 4 in Spanish, were conducted at 3 institutions with care in female pelvic medicine and reconstructive surgery. Standardized questions were asked regarding patients' emotions to when they initially noticed the POP, if they sought family support, and their response to the diagnosis and treatment...
September 16, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27602928/robot-assisted-sacrocolporectopexy-for-multicompartment-prolapse-of-the-pelvic-floor-a-prospective-cohort-study-evaluating-functional-and-sexual-outcome
#9
Jan J van Iersel, Chris J de Witte, Paul M Verheijen, Ivo A M J Broeders, Egbert Lenters, Esther C J Consten, Steven E Schraffordt Koops
BACKGROUND: Pelvic floor disorders are a major public health issue. For female genital prolapse, sacrocolpopexy is the gold standard. Laparoscopic ventral mesh rectopexy is a relatively new and promising technique correcting rectal prolapse. There is no literature combining the 2 robotically assisted techniques. OBJECTIVE: This study was designed to evaluate the safety, quality of life, and functional and sexual outcomes of robot-assisted sacrocolporectopexy for multicompartment prolapse of the pelvic floor...
October 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27597239/tension-free-vaginal-tape-obturator-for-treatment-of-pure-urodynamic-stress-urinary-incontinence-efficacy-and-adverse-effects-at-10-year-follow-up
#10
Maurizio Serati, Andrea Braga, Stavros Athanasiou, Giovanni A Tommaselli, Giorgio Caccia, Marco Torella, Fabio Ghezzi, Stefano Salvatore
BACKGROUND: Inside-out transobturator tape (tension-free vaginal tape-obturator [TVT-O]) is currently one of the most effective and popular procedures for the surgical treatment of female stress urinary incontinence (SUI). However, data reporting long-term outcomes are lacking. OBJECTIVE: To assess the efficacy and safety of TVT-O 10 yr after implantation for the treatment of female pure SUI. DESIGN, SETTING, AND PARTICIPANTS: A multicenter, prospective study was conducted in five tertiary referral centers in three countries...
September 2, 2016: European Urology
https://www.readbyqxmd.com/read/27596620/vaginal-and-laparoscopic-mesh-hysteropexy-for-uterovaginal-prolapse-a-parallel-cohort-study
#11
Robert E Gutman, Charles R Rardin, Eric R Sokol, Catherine Matthews, Amy J Park, Cheryl B Iglesia, Roxana Geoffrion, Andrew I Sokol, Mickey Karram, Geoffrey W Cundiff, Joan L Blomquist, Matthew D Barber
BACKGROUND: There is growing interest in uterine conservation at the time of surgery for uterovaginal prolapse, but limited data compare different types of hysteropexy. OBJECTIVE: We sought to compare 1-year efficacy and safety of laparoscopic sacral hysteropexy and vaginal mesh hysteropexy. STUDY DESIGN: This multicenter, prospective parallel cohort study compared laparoscopic sacral hysteropexy to vaginal mesh hysteropexy at 8 institutions...
September 3, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27595623/-clinical-practice-guidelines-summary-of-recommendations-for-first-surgical-treatment-of-female-pelvic-organ-prolapse-by-5-french-academic-societies-afu-cngof-sifud-pp-snfcp-and-scgp
#12
L Le Normand, M Cosson, F Cour, X Deffieux, L Donon, P Ferry, B Fatton, J-F Hermieu, H Marret, G Meurette, A Cortesse, L Wagner, X Fritel
OBJECTIVE: Providing clinical practice guidelines for first surgical treatment of female pelvic organ prolapse. METHODS: Systematic literature review, level of evidence rating, external proofreading, and grading of recommendations by 5 French academic societies: Association française d'urologie, Collège national des gynécologues et obstétriciens français, Société interdisciplinaire d'urodynamique et de pelvi-périnéologie, Société nationale française de coloproctologie, and Société de chirurgie gynécologique et pelvienne...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27588175/matrix-metalloproteinase-3-gene-promoter-polymorphisms-a-potential-risk-factor-for-pelvic-organ-prolapse
#13
Charalampos Karachalios, Panagiotis Bakas, Georgios Kaparos, Styliani Demeridou, Ilias Liapis, Charalampos Grigoriadis, Aggelos Liapis
Pelvic organ prolapse (POP) is a common multifactorial condition. Matrix metalloproteinases (MMPs) are enzymes capable of breaking down various connective tissue elements. Single-nucleotide polymorphisms (SNPs) in regulatory areas of MMP-encoding genes can alter their transcription rate, and therefore the possible effect on pelvic floor supporting structures. The insertion of an adenine (A) base in the promoter of the MMP-3 gene at position -1612/-1617 produces a sequence of six adenines (6A), whereas the other allele has five (5A)...
September 2016: Biomedical Reports
https://www.readbyqxmd.com/read/27587802/a-movement-system-impairment-guided-approach-to-the-physical-therapy-management-of-a-patient-with-postpartum-pelvic-organ-prolapse-and-mixed-urinary-incontinence-a-case-report
#14
Jenny Kurz, Diane Borello-France
BACKGROUND AND PURPOSE: Postpartum women with pelvic organ prolapse (POP) and urinary incontinence (UI) are often managed by physical therapists specializing in women's health. Movement system impairments often co-exist in this patient population. The purpose of this case study was to describe the physical therapy management of a post-partum female with POP complicated by additional pelvic symptoms. CASE DESCRIPTION: A 31-year-old post-partum female presented with POP, diastasis recti, UI, and constipation...
September 1, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27579418/laparoscopic-radical-cystectomy-and-ileal-neobladder-for-muscle-invasive-bladder-cancer-in-combination-with-one-stage-prophylactic-laparoscopic-sacrospinal-fixation-to-avoid-future-pelvic-organ-prolapse
#15
Péter Törzsök, Sophina Bauer, Rosemarie Forstner, Karl-Dietrich Sievert, Günter Janetschek, Reinhold Zimmermann
BACKGROUND: Women who undergo cystectomy with orthotopic ileal neobladder are more likely to have urinary retention and neocystocele mainly because of anatomical reasons than stress urinary incontinence. The risk is even higher in case of neurologic comorbidities, as in case of our patient. CASE PRESENTATION: We present a laparoscopic mesh insertion for sacrospinal colposuspension to prevent a neocystocele and pelvic organ prolapse in combination with laparoscopic radical cystectomy in a female patient suffering from bladder cancer and chronic episodic multiple sclerosis...
2016: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/27562976/ultrasound-guided-ureteral-stent-removal-in-women
#16
Nariman Gadzhiev, Sergei Brovkin, Vladislav Grigoryev, Vladimir Dmitriev, Valeriy Korol, Dmitry Shkarupa, Aleksei Pisarev, Nair Tagirov, Vigen Malkhasyan, Igor Semeniakin, Nikita Khromov-Borisov, Sergei Petrov
OBJECTIVES: The purpose of this study was to develop a fast, comfortable, and safe method of ureteral stent removal in women. METHODS: From February 2014 to July 2015, a retrospective multicenter controlled study including 82 female outpatients was conducted. The control group was composed of 46 patients who underwent stent removal using a 22F cystoscope. The experimental group was composed of 36 patients who underwent stent removal under ultrasound guidance with a 15F spiral-ending device...
October 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27551651/lumbosacral-osteomyelitis-and-discitis-with-phlegmon-following-laparoscopic-sacral-colpopexy
#17
Amanda V Jenson M D, Robert Scranton, Danielle D Antosh, Richard K Simpson
Lumbosacral osteomyelitis and discitis are usually a result of hematogenous spread; rarely it can result from direct inoculation during a surgical procedure. Bacteria may also track along implanted devices to a different location. This is a rare complication seen from pelvic organ prolapse surgery with sacral colpopexy. A 67-year-old female developed increasing lower back pain four months following a laparoscopic sacral colpopexy. Imaging revealed lumbar 5-sacral 1 (L5-S1) osteomyelitis and discitis with associated phlegmon confirmed by percutaneous biopsy and culture...
2016: Curēus
https://www.readbyqxmd.com/read/27538146/-significance-of-preoperative-urodynamics-for-clinical-diagnosis-of-female-patients-with-stress-urinary-incontinence
#18
W Y Zhang, H Hu, Q Wang, J W Chen, K X Xu
OBJECTIVE: To investigate the impact of preoperative urodynamic study on the diagnosis and treatment for female patients with clinical diagnosis of stress urinary incontinence by studying their diagnosis and treatment database, and to assess its clinical significance of urodynamic study. METHODS: From April 2011 to December 2015, 196 female patients diagnosed clinically with stress urinary incontinence underwent preoperative urodynamics study, after excluding pelvic organ prolapse...
February 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27530381/value-of-quantitative-sensory-testing-in-the-evaluation-of-genital-sensation-its-application-to-female-sexual-dysfunction
#19
REVIEW
Yechiel Z Burke, Lior Lowenstein
INTRODUCTION: Female sexual dysfunction (FSD) is multifactorial, with psychological and organic elements. Genital sensation, an important component of sexual response, has until recently not been subjected to adequate clinical appraisal. During the past 15 years we have performed Quantitative Sensory Testing (QST) to assess genital sensation in healthy women and women with FSD. AIM: To review available evidence of QST in the investigation of genital sensation in women with FSD...
April 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27465815/the-association-between-levator-urethra-gap-measurements-and-symptoms-and-signs-of-female-pelvic-organ-prolapse
#20
Ixora Kamisan Atan, Ka Lai Shek, Glefy Inacio Furtado, Jessica Caudwell-Hall, Hans Peter Dietz
OBJECTIVES: Levator avulsion is associated with pelvic organ prolapse in women. It is diagnosed clinically by a widened gap on palpation between the insertion of the puborectalis muscle on the inferior pubic ramus and the urethra. This gap can also be assessed on imaging. This study aimed to determine the association between sonographically determined levator-urethral gap (LUG) measurements and symptoms and signs of prolapse. METHODS: This is a retrospective study on 450 women seen in a tertiary urogynecological center for symptoms of pelvic floor dysfunction between January 2013 and February 2014...
July 25, 2016: Female Pelvic Medicine & Reconstructive Surgery
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